| 周珊珊，汤继芹，杨媛媛，冯露叶.音乐疗法对卒中后认知功能障碍的疗效研究——Meta分析[J].神经损伤功能重建,2024,(9):505-510 |
| 音乐疗法对卒中后认知功能障碍的疗效研究——Meta分析 |
| Effect of Music Therapy on Cognitive Impairment after Stroke: A Meta-Analysis |
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| DOI： |
| 中文关键词: 音乐疗法 脑卒中 认知功能障碍 Meta分析 |
| 英文关键词: music therapy stroke cognitive dysfunction meta-analysis |
| 基金项目:2020 年 教 育 部 产
学研协同育人项目
（言语治疗学课程
创 新 创 业 教 育 研
究——以《言语康
复产品开发为例》，
No. 202002137071） |
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| 摘要点击次数: 1310 |
| 全文下载次数: 2174 |
| 中文摘要: |
| 目的：评价音乐疗法对卒中后认知功能障碍的干预效果。方法：检索中英文电子数据库中有关音乐
疗法对卒中后认知功能障碍患者的干预效果的随机对照试验研究，利用Revman5.4软件进行Meta分析。
结果：共纳入15篇文献，涉及1 229例患者。Meta分析结果显示，MoCA（2019年前发表组）合并效应量结果
MD=2.91，95%CI 2.57～3.25，P＜0.00001、MoCA[2019年后（含2019年）发表组]合并效应量结果MD=4.62，
95%CI 4.23～5.02，P＜0.00001、MMSE[MD=4.49，95%CI 为（0.81～8.18），P＜0.00001]；Stroop 色词测验
[MD=5.17，95% CI 2.99～7.35，P＜0.00001]、HAMA[MD=－ 4.55，95% CI － 5.16～－ 3.93，P＜0.00001]、
HAMD[MD=－6.02，95%CI －6.84～－5.20），P＜0.00001]。结论：音乐疗法能改善卒中后认知功能障碍及
情绪。 |
| 英文摘要: |
| To evaluate the effect of music therapy on cognitive dysfunction after stroke. Methods:
Randomized controlled trials studying the effects of music therapy for poststroke cognitive dysfunction were
retrieved from Chinese and English electronic databases, and meta-analysis was performed using RevMan 5.4
statistical software. Results: A total of 15 articles with 1 229 patients were included. The meta-analysis results
revealed that for the Montreal Cognitive Assessment (MoCA), the pooled effect size was MD=2.91, 95% CI
(2.57, 3.25), P<0.00001 for studies published before 2019, and MD= 4.62, 95% CI (4.23, 5.02), P< 0.00001 for
those published in or after 2019. Significant improvements were also found in the pooled Mini-Mental State
Examination (MMSE) [MD= 4.49, 95% CI (0.81, 8.18), P<0.00001], Stroop Color and Word Test [MD=5.17,
95%CI (2.99, 7.35), P<0.00001], Hamilton Anxiety Scale (HAMA) [MD=－4.55, 95% CI (－5.16, －3.93), P<
0.00001], and Hamilton Depression Scale (HAMD) [MD=－ 6.02, 95% CI (－ 6.84, － 5.20), P<0.00001].
Conclusion: Music therapy can significantly improve cognitive dysfunction and emotional state in stroke
survivors. |
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